Effect of the COVID-19 Epidemic on Physical Activity in Community-Dwelling Older Adults in Japan: A Cross-Sectional Online Survey

Yamada, Minoru; Kimura, Yosuke; Ishiyama, Daisuke; Otobe, Yuhei; Suzuki, Mizue; Koyama, Shingo; Kikuchi, Takashi; Kusumi, Haruhiko; Arai, Hidenori

doi:10.1007/s12603-020-1501-6

Cited by 250 publications

(195 citation statements)

References 11 publications

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“…PA has been previously described as a risk factor for frailty [ 8 , 9 , 10 ] and a key component of interventions to prevent or reduce the development and progression of frailty [ 3 , 11 , 12 , 13 ]. It has been estimated that the preventive measures applied during the COVID-19 pandemic led to a 25% reduction of PA in the general population [ 6 , 14 , 15 , 16 , 17 ], and more than 45% in older adults [ 6 , 14 , 15 , 16 , 18 , 19 ]. Despite these data, the possible determinants of this reduction in PA levels have not been explored yet.…”

Section: Introductionmentioning

confidence: 99%

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

Pérez

Castellano-Tejedor

Cesari

et al. 2021

IJERPH

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Due to the dramatic impact of the COVID-19 pandemic, Spain underwent a strict lockdown (March–May 2020). How the lockdown modified older adults’ physical activity (PA) has been poorly described. This research assesses the effect of the lockdown on PA levels and identifies predictors of sufficient/insufficient PA in frail older community-dwellers. Community-dwelling participants from the +ÀGIL Barcelona frailty intervention program, suspended during the pandemic, underwent a phone-assessment during the lockdown. PA was measured before and after the lockdown using the Brief Physical Activity Assessment Tool (BPAAT). We included 98 frail older adults free of COVID-19 (mean age = 82.7 years, 66.3% women, mean Short Physical Performance Battery = 8.1 points). About one third of participants (32.2%) were not meeting sufficient PA levels at the end of the lockdown. Depressive symptoms (OR = 0.12, CI95% = 0.02–0.55) and fatigue (OR = 0.11, CI95% = 0.03–0.44) decreased the odds of maintaining sufficient PA, whereas maintaining social networks (OR = 5.07, CI95% = 1.60–16.08) and reading (OR = 6.29, CI95% = 1.66–23.90) increased it. Living alone was associated with the reduction of PA levels (b = −1.30, CI95% = −2.14–−0.46). In our sample, pre-lockdown mental health, frailty-related symptoms and social relationships were consistently associated with both PA levels during-lockdown and pre-post change. These data suggest considering specific plans to maintain PA levels in frail older community-dwellers.

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Section: Introductionmentioning

confidence: 99%

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

Pérez

Castellano-Tejedor

Cesari

et al. 2021

IJERPH

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“…The restrictions during COVID-19 have also led to concerns around the impact on PA particularly among vulnerable groups. Indeed, evidence suggests that PA in older adults has significantly decreased during COVID-19, with concerns that this may lead to increased risk of decline and disability ( Roschel et al , 2020 ; Yamada et al ., 2020 ). Emerging evidence also suggests that the decline may be more prevalent in existing ‘at risk’ groups, particularly those not meeting current PA guidelines.…”

Section: Introductionmentioning

confidence: 99%

The impact of the COVID-19 pandemic on the wellbeing of Irish Men’s Shed members

McGrath

Murphy

Richardson

2020

Health Promotion International

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Summary COVID-19 disproportionately affects males especially those who are older and more socio-economically disadvantaged. This study assessed wellbeing outcomes among men’s shed members (Shedders) in Ireland at baseline (T1), 3 (T2), 6 (T3) and 12 months (T4) in response to a 10-week health promotion program ‘Sheds for Life’ (SFL). Two cohorts participated in SFL commencing in March and September 2019. This study compares the T3 findings from one cohort carried out during the COVID-19 pandemic [COVID cohort ( n = 185)] with T3 findings from a comparator cohort [pre-COVID cohort ( n = 195)], completed pre-COVID-19. Questionnaires assessing wellbeing [life satisfaction, mental health, loneliness, physical activity (PA), self-rated health and other lifestyle measures] were analyzed in both cohorts T1, T2 and T3. Self-rated Health and life satisfaction decreased in the COVID cohort at T3 ( p < 0.001), while loneliness scores increased ( p < 0.0005). Higher loneliness scores were correlated with lower health ratings, life satisfaction and PA during COVID-19 ( p < 0.001). Days PA decreased in the COVID cluster at T3 from T2 ( p < 0.01) with those in urban areas reporting lower activity levels than rural areas ( p < 0.05). Those sufficiently active at baseline managed to maintain PA during COVID-19 while those not meeting guidelines were more likely to report decreases ( p < 0.001). Shedders experiencing COVID-19 restrictions are at an increased risk of poorer wellbeing and increased levels of loneliness. Support and guidance are needed to safely encourage this cohort back into men’s sheds, settings that protect against loneliness and positively promote health and wellbeing. Lay summary The COVID-19 pandemic will have wide-reaching implications on wellbeing, particularly on those who are older and more vulnerable. Evidence also suggests that COVID-19 disproportionately affects males. This study aimed to understand the impact that COVID-19 has had on men in the setting of Men’s Sheds in Ireland. Two cohorts of men who were participating in a 10-week health and wellbeing program (Sheds for Life) at different stages were followed over time. At 6 months follow-up the first Cohort had not experienced COVID-19 whereas the second cohort was actively experiencing the COVID-19 pandemic. We measured wellbeing using questionnaires, comparing both groups of men for differences. We found that the men who were experiencing COVID-19 had lower self-rated health, physical activity and life satisfaction as well as higher rates of loneliness, with those who were more lonely reporting lower wellbeing scores. We also found that men in rural areas were more physically active during COVID-19 and that those were not active were more likely to become more inactive during COVID-19. This study suggests that support and guidan...

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“…Yamada et al . reported that the time spent doing physical activity significantly decreased as a result of the COVID‐19 pandemic affecting older adults in Japan 14 . For healthy older adults and older adults with frailty, muscular weakness is decreased by physical activity, ranging from low intensity walking to more vigorous sports and resistance exercise 15 .…”

Section: Discussionmentioning

confidence: 99%

Association between frailty and changes in lifestyle and physical or psychological conditions among older adults affected by the coronavirus disease 2019 countermeasures in Japan

Shinohara

Saida

Tanaka

et al. 2020

Geriatrics Gerontology Int

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Aim This study aimed to clarify the association between frailty and changes in lifestyle and physical or psychological conditions among community‐dwelling older adults affected by the coronavirus disease 2019 countermeasures in Japan. Methods This cross‐sectional study was carried out between 8 May and 12 June 2020 in Japan. Self‐reported questionnaires were distributed among 1353 older adults. To assess frailty, we used the frailty screening index. To assess changes in lifestyle and physical or psychological conditions, we developed the Questionnaire for Change of Life (QCL), which comprised five items related to frailty. Cronbach's α was calculated as a measure of internal consistency of QCL. We compared the score for each item in the QCL between the frailty and non‐frailty groups. Multiple logistic regression analysis was used to show the factors that affect frailty status. Results In total, 856 older adults (63.3%) were analyzed. A total of 83 participants (9.7%) had frailty, and 755 participants (90.3%) had non‐frailty. Cronbach's α for QCL was 0.552. We observed a significant decrease in daily movement, leg muscle strength and meal size among older adults with frailty compared with non‐frailty ( P < 0.001). Subjective leg muscle strength (odds ratio 3.257, 95% confidence interval 2.236–4.746) was negatively correlated with frailty. Conclusions We suggest that each individual QCL item should be used in analyses involving the QCL. This report showed that subjective lifestyle changes affected by the coronavirus disease 2019 countermeasures were associated with frailty status. In particular, as older adults were aware of a decrease in their leg muscle strength, they were significantly more frail. Geriatr Gerontol Int 2020; ••: ••–•• .

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Effect of the COVID-19 Epidemic on Physical Activity in Community-Dwelling Older Adults in Japan: A Cross-Sectional Online Survey

Cited by 250 publications

References 11 publications

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

Depressive Symptoms, Fatigue and Social Relationships Influenced Physical Activity in Frail Older Community-Dwellers during the Spanish Lockdown due to the COVID-19 Pandemic

The impact of the COVID-19 pandemic on the wellbeing of Irish Men’s Shed members

Association between frailty and changes in lifestyle and physical or psychological conditions among older adults affected by the coronavirus disease 2019 countermeasures in Japan

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